Description

Mr. Early J was seen today while client was in his house. He is 70yr old, alert and oriented, denied pain and discomfort and skin was intact. The house and the living environment was clean. He lives alone and grandchildren visit him occasionally. He verbalized about his retirement and his desire to get something doing. Client stated he wants to be driving Uber. He exercise daily such as 30 push-up daily, playing basket ball, and taking about 30 minutes walk within the neighborhood. Client is taking daily blood pressure medication. Upon visit to his house, blood pressure was 171/88, pulse 66, respiratory 19, 0xygen was 98.0%, and temperature 97.9. Client was educated on the cause of high blood pressure. Follow the rubric below.